Individual provider Active NPI

Ambredawn Tacara Rush, AGPCNP

  • Primary Care Nurse Practitioner
  • Concord, NC
National Provider Identifier
1295440162
Registry record updated Feb 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Nurse PractitionerTaxonomy code 363LP2300X
License
5017519 Issued in NC
Practice address
101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781
Phone
(855) 743-2247
NPI assigned
Jan 16, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Nurse Practitioner 363LP2300X 5017519 NC Primary
Primary Care Nurse Practitioner 363LP2300X 285820 NC
Gerontology Nurse Practitioner 363LG0600X 4029660 KY

Addresses

Primary practice location

101 Cabarrus Ave E Ste 200
Concord, NC 28025-3781

Mailing address

2358 Windley Dr
Gastonia, NC 28054-6203

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, IA, VT, WI, VA, KY, TN, TX, DC10 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 10

Enrollment IDStateProvider typePAC IDDetails
I20230202000906 NC Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 4 organizations
I20241127003872 OH Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 1 organization
I20241129000415 IA Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 1 organization
I20241206001177 VT Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20241212001904 WI Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20250416002546 VA Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20250416002555 KY Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20250512002068 TN Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20250514003459 TX Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 2 organizations
I20260204001688 DC Practitioner - Nurse Practitioner 4385016211 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Post Acute Specialists LLCGroup PAC ID 1951676568, 180 clinicians

Practice addresses (Care Compare)

107 E Beckert Rd
New London, WI 54961-2509
Phone (920) 982-5354

1302 Millville Ave
Hamilton, OH 45013-3961
Phone (513) 867-4100

13900 W Burleigh Rd
Brookfield, WI 53005-3019
Phone (262) 781-0550

2700 W Honadel Blvd
Oak Creek, WI 53154-2650
Phone (414) 435-2005

36855 Ridge Rd
Willoughby, OH 44094-4128
Phone (440) 942-4342

7500 W N Ave
Wauwatosa, WI 53213-1717
Phone (414) 258-6170

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
4029660KYMDGerontology Nurse Practitioner
5017519NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical CurrentSince Jan 28, 2024 Accepting new patients
Complexcare Medical Group Mid-Atlantic H PLLC CurrentSince Dec 21, 2025 Accepting new patients
Post Acute Specialists, LLC CurrentSince Jan 19, 2026 Accepting new patients
Texas Post Acute Specialists, PA CurrentSince Jan 19, 2026 Accepting new patients
Post Acute Specialists of Vermont PLC CurrentSince Jan 19, 2026 Accepting new patients
Signify Health Medical Associates, PLLC CurrentSince Mar 18, 2024 Accepting new patients

Locations (25 of 28)

2001 1st Ave N
Estherville, IA 51334
Phone (712) 362-3594

950 Highpoint Dr
Hopkinsville, KY 42240
Phone (270) 885-1151

2344 Amsterdam Rd
Villa Hills, KY 41017
Phone (859) 341-3981

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

411 S Lasalle St
Durham, NC 27705
Phone (919) 383-5521

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

555 Fayetteville St
Raleigh, NC 27601
Phone (682) 268-1011

555 Anthony Wayne Trl
Waterville, OH 43566
Phone (330) 720-0406

36855 Ridge Rd
Willoughby, OH 44094
Phone (440) 942-4342

1030 High St
Worthington, OH 43085
Phone (614) 876-7356

1 Veterans Way
Knoxville, TN 37931
Phone (855) 240-2530

141 N McLean Blvd
Memphis, TN 38104
Phone (901) 276-2020

1700 Onion Creek Pkwy
Austin, TX 78748
Phone (512) 291-4900

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

3737 N Garland Ave
Garland, TX 75040
Phone (214) 315-6310

2712 Hurstview Dr
Hurst, TX 76054
Phone (817) 281-6407

8611 Main St
Needville, TX 77461
Phone (979) 793-4256

9300 Lakeview Pkwy
Rowlett, TX 75088
Phone (972) 475-4700

519 9th Ave N
Texas City, TX 77590
Phone (409) 949-9499

815 Peach St
Tomball, TX 77375
Phone (281) 351-5443

9825 S Jordan Gtwy
Sandy, UT 84070

1948 Landstown Centre Way
Virginia Beach, VA 23456
Phone (751) 821-7500

601 Red Village Rd
Lyndonville, VT 05851
Phone (802) 626-3361

110 Fairfax Rd
Saint Albans, VT 05478
Phone (518) 324-7403

7 Forest Hill Dr
Saint Albans, VT 05478
Phone (518) 324-7403

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1673827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1770681600000",
    "number": "1295440162",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2358 WINDLEY DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 CABARRUS AVE E STE 200",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280253781",
            "telephone_number": "855-743-2247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RUSH",
        "first_name": "AMBREDAWN",
        "middle_name": "TACARA",
        "credential": "AGPCNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-16",
        "last_updated": "2026-02-10",
        "certification_date": "2026-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "5017519",
            "primary": true
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "285820",
            "primary": false
        },
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "KY",
            "license": "4029660",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

Verify at the official NPI Registry.